| Mr Modell Mcentire, | |
|
201 Memorial Drive, Weaverville, CA 96093 | |
| (530) 623-2861 | |
| Not Available |
| Full Name | Mr Modell Mcentire |
|---|---|
| Gender | Male |
| Speciality | Psychologist - School |
| Location | 201 Memorial Drive, Weaverville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790630440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 230089422 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Modell Mcentire, 201 Memorial Drive, Weaverville, CA 96093 Ph: (530) 623-2861 | Mr Modell Mcentire, 201 Memorial Drive, Weaverville, CA 96093 Ph: (530) 623-2861 |
Amanda Cloud, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 1256, Weaverville, CA 96093 Phone: 530-598-6096 | |
Dr. Anthony Rebelo, M.A., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 Memorial Dr, Weaverville, CA 96093 Phone: 530-623-2861 |